05D2160862 CLIA NUMBER - COMPREHENSIVE UROLOGY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2160862
  • Facility Name: COMPREHENSIVE UROLOGY MEDICAL GROUP
  • Facility Address: 8631 W 3RD ST, STE 1115E
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 278-8330
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: YOUSEF TADROS
  • NPI Number: 1538138946
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2160862
LAB Type Physician Office
Facility Name COMPREHENSIVE UROLOGY MEDICAL GROUP
Street 8631 W 3RD ST, STE 1115E
City LOS ANGELES
State CA
ZIP 90048
Phone 310 278-8330
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director YOUSEF TADROS

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This page was last updated on: 9/29/2025